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You can google diaper cakes and get the directions. I usually roll up about 3 diapers and rubber band then together and stack them on the side and make a big circle, then fan diapers around the circle, and then tie it off with yarn and then wrap ribbon around it. The center of the cake is made from a paper towel roll (empty), and you you repeat for a second or third layer. I usually stick a blanket in the top coming out of the tube, and stuff baby items in between the ribbon and diapers.